Prevalence and Antibiotic Susceptibility Pattern of Oral Pathogens Causing Dental Caries in Medea (Algeria)

I. Belkacem, Kerboussi Nour Elhouda, Bouchenefa Marwa, Esselimani Hind
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Abstract

The oral flora contains about 50 billion bacteria spread throughout more than 500 different species and more than 20 unique genera that coexist inside the oral ecosystem. The objective of this research is to identify the microbiological profile of the oral cavity related to dental caries and to examine their antibiogram profile. To this aim, the samples were taken from entire teeth decay, gingival, subgingival, and buccal cavity, in individuals from Medea in Algeria with age intervals between 7 and 62 years. The isolates' antibiotic sensitivity pattern was also examined. Isolates were identified using morphological, cultural, and biochemical features. This enabled us to discover 25 oral microbial strains that can become pathogenic by producing dental caries. Streptococcus spp., Lactobacillus spp., Enterococcus spp., Candida albicans, and Staphylococcus aureus were found to be the most frequent strains in the oral cavity, with prevalence rates of 32, 24, 20, 16, and 8%, respectively. The results also revealed that the prevalence of cariogenic germs depends on the range of age, among the three group ages studied we found that dental caries was high in children where the age group is 7 to 14 years. The results of antibiotic susceptibility have shown that most of the strains are sensitive to antibiotics tested, except Streptococcus spp., and S. aureus was resistant to certain antibiotics. This study indicates that some bacteria are resistant to antibiotics, implying that there is no completely efficient treatment for oral diseases and that prevention is the best approach to combat oral infections.
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阿尔及利亚美狄亚地区口腔龋病病原菌流行及药敏分析
口腔菌群包含约500亿细菌,分布在500多个不同的物种和20多个独特的属,共存于口腔生态系统中。本研究的目的是确定与龋齿有关的口腔微生物谱,并检查其抗生素谱。为此,样本取自阿尔及利亚美狄亚地区年龄在7至62岁之间的个体的整个蛀牙、牙龈、牙龈下和颊腔。并对分离株的抗生素敏感性进行了检测。分离株通过形态、培养和生化特征进行鉴定。这使我们发现了25种可以通过产生龋齿而致病的口腔微生物菌株。口腔最常见的菌种为链球菌、乳酸菌、肠球菌、白色念珠菌和金黄色葡萄球菌,患病率分别为32%、24%、20%、16%和8%。结果还显示,龋齿细菌的患病率取决于年龄的范围,在研究的三个年龄组中,我们发现7至14岁年龄组的儿童龋齿发生率高。抗生素药敏结果表明,除链球菌和金黄色葡萄球菌对某些抗生素有耐药性外,大多数菌株对所测抗生素均敏感。这项研究表明,一些细菌对抗生素具有耐药性,这意味着没有完全有效的治疗口腔疾病的方法,预防是对抗口腔感染的最佳途径。
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